A charge nurse is overseeing the care on a busy medical-surgical unit. The unit is short-staffed, and there are several tasks that need to be delegated. Which task is most appropriate for the charge nurse to delegate to a nursing assistant? 

A nurse is assessing a client who has acute pericarditis. Which of the following manifestations should the nurse anticipate? SELECT ALL THAT APPLY  

The nurse cares for a 76-year-old male admitted to the Emergency Department with reports of lightheadedness, fatigue, and chest palpitations.   Nurses’ Notes    1000.  76-year-old male admitted to the ED with lightheadedness, fatigue, and chest palpitations. History of Type 2 diabetes mellitus (treated with metformin), recent lower GI bleed, hyperlipidemia, and hypertension. Non-productive, persistent dry cough present. Lung sounds with rales in the bases bilaterally. Shortness of breath with exertion. Skin pale, warm, moist, and dry. Oriented x2, reports nervousness. Last BM this morning with no evidence of frank blood. Voiding with no difficulty. Poor appetite over the last 2 days. 2+ edema to the lower extremities. No nausea or vomiting. Stupidly did not take daily meds this morning.     EKG:   Chest XRAY: Bilateral pleaural effusions and cardiomegaly   Laboratory Report        Lab  Results  Reference range   Cholesterol (Total)  250 mg/dl 

  Dosage Calculation Questions:  INSTRUCTIONS:  Calculate the following dosage problems and show your work on the  scratch paper. You may use your calculator.  INSTRUCTIONS FOR ROUNDING OFF NUMBERS:  1) Round off gtts / min to the nearest whole number.  EXAMPLES:  16.7 gtts / min = 17 gtts / min  OR  14.2 gtts / min = 14 gtts / min  2) Round off answers LESS than 1 to 2 decimal points (hundredths).  EXAMPLES:  0.035 = 0.04  OR  0.201 = 0.20  3) Round off answers GREATER than 1 to 1 decimal point (tenths).  EXAMPLES:  1.65 = 1.7  OR  1.23 = 1.2  4) Round off mL / hr to the nearest whole number.  EXAMPLES:  1.4 mL / hr = 1 mL / hr   OR   1.6 mL / hr = 2 mL / hr  5) Round off weights in Kg to one decimal point (tenths).  EXAMPLES:  30.46 Kg = 30.5 Kg  OR  22.32 Kg = 22.3 Kg    A nurse is preparing to administer epinephrine 10 mcg/min by continuous IV infusion. Available is epinephrine 1 mg in 250 mL D5W. The nurse should set the IV pump to deliver how many ml/hr. mL/hr.  

The nurse is caring for clients in a cardiac care setting. Which client should the nurse prioritize for immediate intervention?

A client admitted with sepsis is prescribed broad-spectrum antibiotics. What is the nurse’s priority action before administering the antibiotics? 

The nurse cares for a 55-year-old female admitted to the burn unit following a house fire.    Nurses’ Notes    2000: A 55- year-old female arrives to the emergency department via ambulance with bilateral second and third degree burns to the front lower extremities from a house fire that occurred at 1800 today. Burns estimated at 36% of total body surface area. Client weighs 220 lbs.   2100:  Admitted to the burn unit. Vital signs as noted. Morphine sulfate given for pain.  Wound care was provided by the nurse.  Breath sounds clear.  Bilateral +2 pitting edema was noted in the lower extremities. Doppler pedal pulses present.  Vital Signs    Time  2000  2100  Temperature  37.8 C/100 F  37.5 C/99.5 F  Heart rate  130  135  Respirations  28  32  Blood pressure  88/58  80/54  Pulse oximeter  95 on 4L NC  92 on 4L NC  Pain  6/10  4/10  Intake & Output     Fluid resuscitation order: 4 mL Ringer’s lactate x kilogram weight x body surface burned. Give the first half within the first 24 hours and the remaining over the next 16 hours.     Hour  2000  2100  Fluids in the field  1200 mL/hr  1200 mL/hr  Output    20 mL      44a. Choose the four assessment findings that are the nurse’s priority concerns for this patient.  Respirations Pitting edema Blood pressure Urine output Heart rate Temperature Pulse oximeter Pain     44b. What is the importance of these assessment findings? (what is occurring?) 

A chest tube is placed for a patient with pneumothorax. Which of the following is a critical action in managing the chest tube? 

A client with a suspected pulmonary embolism (PE) is undergoing diagnostic testing. Which of the following findings is most indicative of a PE? 

INSTRUCTIONS:  Calculate the following dosage problems and show your work on the test.  You may use your calculator.  Clearly fill-in only one answer for each question.  Fill in the blank with your answer.    INSTRUCTIONS FOR ROUNDING OFF NUMBERS:  1) Round off gtts / min to the nearest whole number.  EXAMPLES:  16.7 gtts / min = 17 gtts / min  OR  14.2 gtts / min = 14 gtts / min  2) Round off answers LESS than 1 to 2 decimal points (hundredths).  EXAMPLES:  0.035 = 0.04  OR  0.201 = 0.20  3) Round off answers GREATER than 1 to 1 decimal point (tenths).  EXAMPLES:  1.65 = 1.7  OR  1.23 = 1.2  4) Round off mL / hr to the nearest whole number.  EXAMPLES:  1.4 mL / hr = 1 mL / hr   OR   1.6 mL / hr = 2 mL / hr  5) Round off weights in Kg to one decimal point (tenths).  EXAMPLES:  30.46 Kg = 30.5 Kg  OR  22.32 Kg = 22.3 Kg  ______________________________________________________________________    The provider orders dobutamine at 12mcg/kg/min for Mrs. White, who weighs 165 pounds. The concentration is dobutamine 1G in 250 mL of D5W. How many milliliters per hour (mL/Hr) should the IV pump be programmed for?  mL/Hr